| NPI | 1093961740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-09-6542) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 252Y00000X Early Intervention Provider Agency (Licence: FL 0-02-0435 CERTIFICAT) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-04-05 |